Vacation Bible Camp

Registration for YLPC Vacation Bible Camp 2009

August 3-7 from 9:30am -12:00 noon. $20.00 per child. Ages Preschool - 5th grade.

Child's Name:

Age:

Address:

City:

Zip Code:

Home Phone:

Mobile Phone:

E-mail:

Date of Birth: (mm/dd/yyyy)

Last Grade Completed:

Mother's Name:

Father's Name:

Allergies/Special Needs/Medical Conditions/Notes:

Home Church Name:

T-shirt Size:

YOUTH

S
M
L

ADULT

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Emergency Contact

Name:

Phone:

Print this completed form BEFORE clicking "Submit Registration" (2 pages)

A "Permission and Medical Release Form" must be signed by a parent or guardian.
Please print a copy of this form by clicking on the above link.
After completing, sign and return to the Church Office with above completed registration form.

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Sunday Worship
9:00am & 10:30am
Children's ministry and Nursery Care
Sunday - 9:00am & 10:30am
Middle School Ministry
Sunday - 10:30am
High School Ministry
Sunday - 10:30am